Individual
CAROL MCCONNELL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
CORNER OF RT N12 AND RT N 7, FORT DEFIANCE, AZ 86504
(928) 729-8798
(928) 729-8794
Mailing address
PO BOX 1578, FORT DEFIANCE, AZ 86504-1578
(928) 729-5987
(928) 729-5987
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024165026
VA
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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